An evaluation of coverage and compliance of mass drug administration 2006 for elimination of lymphatic filariasis in endemic areas of Gujarat
<b>Background:</b> Mass drug administration (MDA) means once-in-a-year administration of diethyl carbamazine (DEC) tablet to all people (excluding children under 2 years, pregnant women and severely ill persons) in identified endemic areas. It aims at cessation of transmission of lympha...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2008-01-01
|
| Series: | Indian Journal of Community Medicine |
| Subjects: | |
| Online Access: | http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2008;volume=33;issue=1;spage=38;epage=42;aulast=Kumar |
| _version_ | 1819259623402635264 |
|---|---|
| author | Kumar Pradeep Prajapati P Saxena Deepak Kavishwar Abhay Kurian George |
| author_facet | Kumar Pradeep Prajapati P Saxena Deepak Kavishwar Abhay Kurian George |
| author_sort | Kumar Pradeep |
| collection | DOAJ |
| description | <b>Background:</b> Mass drug administration (MDA) means once-in-a-year administration of diethyl carbamazine (DEC) tablet to all people (excluding children under 2 years, pregnant women and severely ill persons) in identified endemic areas. It aims at cessation of transmission of lymphatic filariasis. <b> Objective:</b> What has been the coverage and compliance of MDA in Gujarat during the campaign in December 2006? <b> Study Design:</b> Cross-sectional population based house-to-house visit. <b> Setting:</b> Urban and rural areas in Gujarat identified as endemic for filariasis where MDA 2006 was undertaken. <b> Study Variables:</b> <i> Exploratory</i> - Rural and urban districts; <i> Outcome</i> - coverage, compliance, actual coverage, side effects. <b> Analysis:</b> Percentage and proportions. <b> Results:</b> Twenty-six clusters, each comprising 32 households from six endemic districts, yielded an eligible population of 4164. The coverage rate was 85.2% with variation across different areas. The compliance with drug ingestion was 89% with a gap of 11% to be targeted by intensive IEC. The effective coverage (75.8%) was much below the target (85%). Side effects of DEC were minimum, transient and drug-specific. Overall coverage was marginally better in rural areas. The causes of poor coverage and compliance have been discussed and relevant suggestions have been made. |
| first_indexed | 2024-12-23T19:12:57Z |
| format | Article |
| id | doaj.art-019dd9cfdce848d58e0233a575bf02ed |
| institution | Directory Open Access Journal |
| issn | 0970-0218 |
| language | English |
| last_indexed | 2024-12-23T19:12:57Z |
| publishDate | 2008-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Community Medicine |
| spelling | doaj.art-019dd9cfdce848d58e0233a575bf02ed2022-12-21T17:34:23ZengWolters Kluwer Medknow PublicationsIndian Journal of Community Medicine0970-02182008-01-013313842An evaluation of coverage and compliance of mass drug administration 2006 for elimination of lymphatic filariasis in endemic areas of GujaratKumar PradeepPrajapati PSaxena DeepakKavishwar AbhayKurian George<b>Background:</b> Mass drug administration (MDA) means once-in-a-year administration of diethyl carbamazine (DEC) tablet to all people (excluding children under 2 years, pregnant women and severely ill persons) in identified endemic areas. It aims at cessation of transmission of lymphatic filariasis. <b> Objective:</b> What has been the coverage and compliance of MDA in Gujarat during the campaign in December 2006? <b> Study Design:</b> Cross-sectional population based house-to-house visit. <b> Setting:</b> Urban and rural areas in Gujarat identified as endemic for filariasis where MDA 2006 was undertaken. <b> Study Variables:</b> <i> Exploratory</i> - Rural and urban districts; <i> Outcome</i> - coverage, compliance, actual coverage, side effects. <b> Analysis:</b> Percentage and proportions. <b> Results:</b> Twenty-six clusters, each comprising 32 households from six endemic districts, yielded an eligible population of 4164. The coverage rate was 85.2% with variation across different areas. The compliance with drug ingestion was 89% with a gap of 11% to be targeted by intensive IEC. The effective coverage (75.8%) was much below the target (85%). Side effects of DEC were minimum, transient and drug-specific. Overall coverage was marginally better in rural areas. The causes of poor coverage and compliance have been discussed and relevant suggestions have been made.http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2008;volume=33;issue=1;spage=38;epage=42;aulast=KumarLymphatic filariasismass drug administration |
| spellingShingle | Kumar Pradeep Prajapati P Saxena Deepak Kavishwar Abhay Kurian George An evaluation of coverage and compliance of mass drug administration 2006 for elimination of lymphatic filariasis in endemic areas of Gujarat Indian Journal of Community Medicine Lymphatic filariasis mass drug administration |
| title | An evaluation of coverage and compliance of mass drug administration 2006 for elimination of lymphatic filariasis in endemic areas of Gujarat |
| title_full | An evaluation of coverage and compliance of mass drug administration 2006 for elimination of lymphatic filariasis in endemic areas of Gujarat |
| title_fullStr | An evaluation of coverage and compliance of mass drug administration 2006 for elimination of lymphatic filariasis in endemic areas of Gujarat |
| title_full_unstemmed | An evaluation of coverage and compliance of mass drug administration 2006 for elimination of lymphatic filariasis in endemic areas of Gujarat |
| title_short | An evaluation of coverage and compliance of mass drug administration 2006 for elimination of lymphatic filariasis in endemic areas of Gujarat |
| title_sort | evaluation of coverage and compliance of mass drug administration 2006 for elimination of lymphatic filariasis in endemic areas of gujarat |
| topic | Lymphatic filariasis mass drug administration |
| url | http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2008;volume=33;issue=1;spage=38;epage=42;aulast=Kumar |
| work_keys_str_mv | AT kumarpradeep anevaluationofcoverageandcomplianceofmassdrugadministration2006foreliminationoflymphaticfilariasisinendemicareasofgujarat AT prajapatip anevaluationofcoverageandcomplianceofmassdrugadministration2006foreliminationoflymphaticfilariasisinendemicareasofgujarat AT saxenadeepak anevaluationofcoverageandcomplianceofmassdrugadministration2006foreliminationoflymphaticfilariasisinendemicareasofgujarat AT kavishwarabhay anevaluationofcoverageandcomplianceofmassdrugadministration2006foreliminationoflymphaticfilariasisinendemicareasofgujarat AT kuriangeorge anevaluationofcoverageandcomplianceofmassdrugadministration2006foreliminationoflymphaticfilariasisinendemicareasofgujarat AT kumarpradeep evaluationofcoverageandcomplianceofmassdrugadministration2006foreliminationoflymphaticfilariasisinendemicareasofgujarat AT prajapatip evaluationofcoverageandcomplianceofmassdrugadministration2006foreliminationoflymphaticfilariasisinendemicareasofgujarat AT saxenadeepak evaluationofcoverageandcomplianceofmassdrugadministration2006foreliminationoflymphaticfilariasisinendemicareasofgujarat AT kavishwarabhay evaluationofcoverageandcomplianceofmassdrugadministration2006foreliminationoflymphaticfilariasisinendemicareasofgujarat AT kuriangeorge evaluationofcoverageandcomplianceofmassdrugadministration2006foreliminationoflymphaticfilariasisinendemicareasofgujarat |